Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,331.21 / $9,859.00	Facility		$100.00	$2,331.21	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $840.01 / $980.69 / $1,283.94	Professional		$840.01	$980.69	$1,283.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.21 / $6,000.00	Facility		$3,302.10	$3,669.21	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $973.95 / $1,650.58 / $2,489.51	Professional		$973.95	$1,650.58	$2,489.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,120.04 / $2,472.40 / $2,558.92	Facility		$1,120.04	$2,472.40	$2,558.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,224.00 / $1,767.02 / $2,926.82	Professional		$1,224.00	$1,767.02	$2,926.82
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,114.97 / $1,829.22 / $3,441.35	Professional		$1,114.97	$1,829.22	$3,441.35
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,141.93 / $1,667.46 / $6,355.05	Professional		$1,141.93	$1,667.46	$6,355.05
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $779.76 / $857.74 / $1,091.66	Professional		$779.76	$857.74	$1,091.66